Individual provider · NPI-1

Fatin Shakir Albezargan, MD

Family Medicine · Port Charlotte, FL

NPI number1376842799
StatusActive
Last updated in NPPESFeb 1, 2023

Details

NPI
1376842799
Entity type
Individual (NPI-1)
Name
Fatin Shakir Albezargan
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 24, 2011
Certification date
Feb 1, 2023
Last updated
Feb 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME143731FLYes

Other names

  • Fatin Shakir Mohammed (Former Name)

Practice location

3028 Caring Way Unit 9
Port Charlotte, FL 33952-5300

Phone 941-979-9246 · Fax 941-979-9347

Mailing address

3028 Caring Way Unit 9
Port Charlotte, FL 33952-5300

Phone 941-979-9246 · Fax 941-979-9347

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